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Minnesota rates for HCPCS G0402

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of Medicare enrollment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.36 / $165.63 / $165.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.78 / $136.07 / $200.22
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$261.39 / $261.39 / $261.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.88 / $341.94 / $1,024.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.27 / $398.19 / $566.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.53 / $538.85 / $1,179.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.30 / $184.31 / $234.32
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.29 / $483.64 / $1,113.15
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.88 / $164.21 / $184.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.36 / $227.77 / $362.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.58 / $358.54 / $828.70
Medica
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$244.61 / $433.00 / $573.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.54 / $322.86 / $540.05